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Best Doctors For hydrocele
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    Dr Ankit Kumar (Id6NCCAzQu)

    Dr Ankit Kumar

    MBBS, MS-General Surgery, M.Ch-Urology
    13 Yrs.Exp.

    4.7/5

    13 + Years

    location icon Delhi
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    8095-235-600
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    Dr. Sanjeev Gupta (zunvPXA464)

    Dr. Sanjeev Gupta

    MBBS, MS- General Surgeon
    25 Yrs.Exp.

    4.9/5

    25 + Years

    location icon Pristyn Care Clinic, Greater Kailash, Delhi
    Call Us
    8095-235-600
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    Dr. Milind Joshi (g3GJCwdAAB)

    Dr. Milind Joshi

    MBBS, MS - General Surgery
    25 Yrs.Exp.

    4.9/5

    25 + Years

    location icon Aanvii Hearing Solutions
    Call Us
    8095-235-600
  • What is Hydrocele?
    How does Hydrocele form?
    Types of Hydrocele
    Causes & Symptoms of Hydrocele
    Diagnosis of Hydrocele
    Prevention of Hydrocele
    When to see a Hydrocele Doctor?
    Questions to ask your doctor regarding Hydrocele
    Hydrocele Treatment Options & Cost
    Hydrocele Surgery Preparation
    What to expect during the Hydrocele Surgery?
    After the Hydrocele surgery
    Before & After the Hydrocele Surgery
    Cost of Hydrocelectomy in India
    Is Hydrocele covered under Insurance?
    Hydrocele Recovery Rate
    Hydrocele vs Hernia
    Hydrocele vs Hernia

    What is Hydrocele?

    A hydrocele is a condition that occurs due to the accumulation of fluids in the scrotum, around the testicles. Usually, it is not dangerous but, in rare cases it can cause pain and discomfort due to the decrease of blood supply to the penis which might require immediate treatment to avoid severe complications such as testicular cancer.

    How does Hydrocele form?

    A hydrocele is a common condition among newborn babies. In babies, it develops in the womb, when the passage that allows the testicles to move from the abdomen to the scrotum fails to close completely and usually disappears without treatment within a few months. However, older boys and adult men may also develop a hydrocele due to an injury or inflammation that is caused by an infection within the scrotum.

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    Types of Hydrocele

    1. Communicating hydrocele
    2. Non-communicating hydrocele

    Causes & Symptoms of Hydrocele

    • Congenital
    • Injury to the scrotum
    • Inflammation caused by infection in the scrotum
    • Swelling in the scrotum
    • Feeling of heaviness in the scrotum
    • Causes pain

    Diagnosis of Hydrocele

    Test

    • Blood Test: You will be required to go for a blood test in order to determine your complete blood count. Blood test helps in detecting possible infections such as epididymitis.
    • Urine test: In order to ascertain the cause of hydrocele and determine if there is an underlying infection, you will be required to go for a urine test.

    Self Diagnosis

    Usually, the only indication of a hydrocele is swelling of one or both the testicles. Adult men diagnosed with a hydrocele may experience discomfort from the heaviness of a swollen scrotum. If the hydrocele continues to grow in size due to the fluid build up, it may gradually increase the pain. However, it would be best for you to consult a doctor as the symptoms might also be the cause of a condition of inguinal hernia.

    Diagnosis By Doctor

    To diagnose a hydrocele, the doctor will initially perform a physical exam. If you have a hydrocele, your scrotum will be swollen, but you will not experience any pain. The doctor may check for tenderness in the scrotum by a process called transillumination that allows them to determine if there is a fluid build up in the scrotum. Further, the doctor may also apply pressure to the abdomen and ask you to stand, strain, or cough in order to confirm the diagnosis as there are similar symptoms involved in case of an inguinal hernia. After a thorough diagnosis of the hydrocele is completed, the doctor might recommend the best mode of treatment to treat your condition.

    Prevention of Hydrocele

    There is no proven way to prevent the occurence of a hydrocele in a baby. In the case of adults, the best way to prevent a hydrocele is by keeping the scrotum or testicles free from an injury by wearing certain protective gears while performing strenuous physical activities. Although hydroceles may not cause any discomfort, you should consult a doctor if you are experiencing  any abnormality or swelling in the scrotum.

    When to see a Hydrocele Doctor?

    A condition of hydrocele might not cause any sort of discomfort and may often disappear with time without any prior treatment. However, in certain cases where a scrotal swelling is prevalent, you may consider seeking medical help to rule out other causes of the swelling that might require immediate treatment. Delaying proper treatment of hydrocele can lead to complications that can be severe.

    Questions to ask your doctor regarding Hydrocele

    1. Should I be worried about the condition?
    2. Are there any chances that I may have another condition?
    3. Do I need an immediate treatment for my hydrocele?
    4. What are the treatment options available to me?
    5. How can I help myself/my child stay comfortable?
    6. Are there any chances of the hydrocele affecting my fertility?
    7. Given my conditions, how long can I wait for the surgery?
    8. What are the measures I can take to avoid possible complications?
    9. Do the signs and symptoms indicate that I need an immediate treatment?
    10. Are there any restrictions that I should follow?

    Hydrocele Treatment Options & Cost

    Non Surgical Hydrocele Treatment:

    Aspiration and Sclerotherapy: Aspiration is a minimally-invasive procedure that involves the injecting of a needle into the hydrocele for withdrawing the fluid. After the fluid is removed, the doctor injects a sclerosing agent that uses a combination of sodium tetradecyl sulphate (STDS) inside the sack around the testicle. This helps in preventing the fluid build up.

    This procedure is commonly performed on men who are at a higher risk of complications during surgery. However, there is a slight chance that the hydrocele may come back within months, which would require another round of aspiration and sclerotherapy.

    Surgical Hydrocele Treatment:

    • Laser hydrocelectomy: Undergoing a laser hydrocelectomy is the most long-lasting repair of hydrocele, with a much reduced risk of recurrence and a quicker rate of recovery with no risks of infection or blood clots. Performed under the influence of an anaesthesia, this procedure uses a high-intensity laser beam to drain the accumulated fluid. The doctor then removes the sac in order to prevent the recurrence of the condition. The procedure is completed in less than 30 minutes and the patient in most cases can go home in 6 to 12 hours after the procedure.
    • Open hydrocelectomy: This is a surgical procedure that is usually performed under the influence of general anesthesia. During this procedure, the surgeon makes a cut in the scrotum or groin area and drains out the fluid via suction. The surgeon then closes the communication to the canal between the abdominal cavity and the scrotum, before removing the hydrocele sac and closing the incisions with sutures or surgical strips.

    Hydrocele Surgery Preparation

    • As with most surgeries, you will need to refrain from consuming any food or fluids for at least 8 hours prior to the treatment.
    • Before going for the surgery, you should inform your surgeon about any prescribed or over-the-counter medications you are taking in order to avoid possible complications during the procedure.
    • You may be required to go for certain pre-operative medical evaluations such as blood tests and urine tests in order to make sure that you are healthy enough to undergo a surgery.
    • You should take a shower before going for the surgery as you will be required to keep the surgical area dry, to eliminate the risk of developing any infections post the surgery.
    • Before the surgery, you should discuss the possibilities of having an allergic reaction to the anaesthesia as it can help in avoiding complications like shortness of breath, low blood pressure and an abnormal heart rhythm.

    What to expect during the Hydrocele Surgery?

    • During the surgery, you will be put under the influence of a general anaesthesia, which will help to ease the pain and discomfort during the surgery.
    • The surgeon will then make a small cut or incision in the scrotum.
    • The accumulated fluid is then drained out of the hydrocele and then the tissue that forms around the hydrocele is removed or repositioned.
    • A thin tube may be placed in the incision for draining out the fluid. Once the fluid is drained out, the tube is removed.
    • Once the procedure is complete, the incision is closed with stitches or sutures.

    After the Hydrocele surgery

    • After the surgery is complete, you will be shifted to an observation room until the reaction of the anaesthesia wears off.
    • Once you are fully awake, you will be shifted to a ward, where the doctors and nurses will monitor your condition to make sure that you do not face any complications.
    • If a breathing tube was used, you might feel soreness around your throat.
    • To reduce the swelling, an ice pack may be put in the surgical area.
    • Depending on your overall health conditions, you will be prepared for a discharge from the hospital.

    Before & After the Hydrocele Surgery

    Generally, the results of a hydrocelectomy may take about 6-8 weeks to show up. But, it is to be noted that the healing or recovery time varies from patient to patient. Hydrocelectomy is an advanced and effective procedure that involves no risks and complications. However, to ensure proper and faster recovery, timely follow-up sessions with the doctor are highly advised.

    Cost of Hydrocelectomy in India

    The cost of hydrocelectomy in India with Pristyn Care may range anywhere between Rs 30,000 to Rs 80,000. But, this cost range can vary from person to person, depending on multiple factors like:

    1. Severity of the condition
    2. Doctor’s fee
    3. Type and location of the hospital chosen to undergo the treatment
    4. Cost of diagnostic tests and medications, before and after the surgery

    Is Hydrocele covered under Insurance?

    Like most of the surgeries, a hydrocele repair surgery is covered under insurance at Pristyn Care. To find out more about the insurance coverage, you can get in touch with our medical coordinators. We have an insurance team to look after all your documents and assist you in the claim process.

    Hydrocele Recovery Rate

    After the surgery, you may experience bruising or swelling in your groin or scrotum and this would usually get better in 2 to 3 weeks. A hydrocelectomy is an effective treatment for hydrocele, and there is barely any major complications post-surgery. The procedure is minimally painful and the hydrocele recovery after the procedure is also very quick. You can get back to performing your daily activities within a week. However, you will have to avoid performing strenuous activities like straddling, riding a bike, or cycling in order to prevent possible complications for a few weeks post-surgery.

    Hydrocele vs Hernia

    Feature Hydrocele Hernia
    Definition Accumulation of fluid around the testicle, leading to swelling in the scrotum Protrusion of an organ or tissue through an abnormal opening in the abdominal wall
    Location Specifically involves the scrotum A hernia occurs in various regions, including inguinal, femoral, umbilical, etc.
    Contents Fluid (serous fluid) within the scrotal sac Organs or tissues (e.g., intestines) protruding through the abdominal wall
    Causes Typically idiopathic or may result from trauma, infection, or inflammation Can be congenital or acquired; caused by increased pressure in the abdomen
    Symptoms Swelling in the scrotum; usually painless Visible bulge, discomfort, and sometimes pain in the affected area
    Reduction Non-reducible; fluid can be aspirated for temporary relief May be manually reducible or irreducible; surgical repair may be necessary
    Diagnosis Clinical examination, ultrasound Clinical examination, imaging studies (e.g., ultrasound, CT scan)
    Treatment Observation, aspiration, or surgical repair Surgical repair is often recommended
    Complications Rarely leads to complications Complications may include strangulation, obstruction, or incarceration
    Prognosis Generally good, especially with timely intervention Prognosis depends on the type, severity, and promptness of treatment

    Hydrocele vs Hernia

    Feature Hydrocele Varicocele
    Definition Accumulation of fluid around the testicle, leading to swelling in the scrotum Dilation and enlargement of the veins within the scrotum
    Location Specifically involves the scrotum Primarily affects the veins within the scrotum
    Contents Fluid (serous fluid) within the scrotal sac Dilated and enlarged veins (varicose veins) within the scrotum
    Causes Typically idiopathic or may result from trauma, infection, or inflammation Due to the malfunction of valves within the testicular veins, leading to blood pooling
    Symptoms Swelling in the scrotum; usually painless Visible and palpable veins, aching discomfort, and dragging sensation in the scrotum
    Reduction Non-reducible; fluid can be aspirated for temporary relief Non-reducible; usually requires surgical intervention if symptomatic
    Diagnosis Clinical examination, ultrasound Clinical examination, ultrasound
    Treatment Observation, aspiration, or surgical repair Conservative measures (e.g., scrotal support) or surgical intervention
    Complications Rarely leads to complications May cause infertility (in severe cases) or discomfort
    Prognosis Generally good, especially with timely intervention Prognosis depends on the severity and response to treatment
    Dr. Rahul Sharma (TEJFraQUZY)
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    FAQs related to Hydrocele

    Who should I consult for treating a hydrocele?

    You can consult a general surgeon or urologist to seek treatment for your hydrocele.

    Can a hydrocele rupture?

    In rare cases, due to increased intrascrotal pressure or trauma, hydroceles may burst, resulting in a decompression of the hydrocele.

    Will I be able to exercise with a hydrocele?

    Exercising is always a healthy way to treat most conditions. However, in the case of hydrocele, you should try to avoid strenuous exercises or yoga asanas that may exert pressure on the scrotum.

    What is the best treatment for hydrocele?

    Hydrocelectomy is the safest and most effective treatment of hydrocele as it ensures a permanent treatment of the condition with no postoperative complications involved.

    Can I go home on the same day after hydrocele surgery?

    A hydrocelectomy is usually a day-care procedure and you can expect to go home in 6 to 12 hours after the surgery, depending upon your overall health conditions.

    How can I treat the swelling of a hydrocele at home?

    Home remedies to treat the swelling caused by a hydrocele include:

    • Avoiding strenuous activities
    • Using ice packs to relieve the swelling
    • Wearing protective gears
    • Following the doctor’s instructions properly
    • Taking a warm bath by adding at least a few cups of epsom salt
    • Including lots of fruits and boiled vegetables in your diet

    Should I get my hydroceles removed?

    Often a condition of hydrocele resolves without treatment. However, if a hydrocele continues to enlarge, it can cause swelling, pain, and discomfort in the scrotum and may require a surgical repair to prevent further complications.

    Can hydrocele cause hernia?

    A hydrocele occurs when fluids collect in the scrotum, causing it to swell. There is a chance that this swelling may be accompanied by a hernia.

    How long does a procedure of hydrocelectomy take?

    It takes about 30 minutes for a procedure of hydrocelectomy to complete.

    Can a hydrocele return after surgery?

    Hydrocelectomy is usually a very successful procedure and major complications are very rare. However, there are rare chances that a hydrocele might return if the channels through which the testicles descend reopens or are not closed properly. This results in the accumulation of fluids and can cause them to move from the abdomen to the scrotum. Hydroceles can also reappear if there is an inflammation or injury in the scrotum or along the channel.